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Individual

HARDI ANTALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
970 PARKWAY AVE, EWING, NJ 08618-2317
(609) 882-3456
Mailing address
8 CROMWELL CT, EWING, NJ 08628-2223

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03585100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI03585100
NEW JERSEY BOARD OF PHARMACY
NJ
Enumeration date
01/05/2015
Last updated
01/05/2015
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